TIFFANY SMAHA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028383

License Status

ACTIVE

Business

First Name

TIFFANY

Last Name

SMAHA

Business Name

TIFFANY SMAHA

Original Issue Date

10/04/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/04/2026